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A company is looking for a Utilization Review Clinician - Behavioral Health.Key ResponsibilitiesEvaluate member's treatment for mental health and substance abuse to ensure medical appropriatenessPerform prior authorization reviews and concurrent...

Collaborating closely with the Chief Nursing Officer, the full-time remote Associate Chief Nursing Officer will lead nursing operations, manage a team of nurses, and assist in AI product development to ensure high-quality patient interactions and...

Certified Charge Capture Analyst, a full-time remote position, is responsible for advising on charge codes, monitoring charge capture and revenue trends, and ensuring compliance with billing guidelines to enhance revenue generation.Key...

Seeking a remote California RN/LVN Utilization Management professional, the full-time nurse will review prior authorization requests for medical necessity across inpatient and outpatient services, applying CMS guidelines and Milliman Care...